Kim Hong Il, Kwak Chan Yee, Kim Hyo Young, Yi Hyung Suk, Park Eun Ju, Kim Jeong Hoon, Park Jin Hyung
Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
Department of Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
Arch Craniofac Surg. 2018 Jun;19(2):120-126. doi: 10.7181/acfs.2018.01907. Epub 2018 Jun 30.
Minimizing scarring has long been a challenge in plastic surgery. Factors affecting scar formation are well known, but the effect of some patient-specific factors such as dermal thickness remains unverified. Management of factors predictive of scarring can improve postoperative patient satisfaction and scar treatment.
For 3 years, we used ultrasonography to measure dermal thickness in female patients who had undergone thyroidectomy for cancer at our hospital. We confirmed the influence of dermal thickness on hypertrophic scar formation and the Patient and Observer Scar Assessment Scale scar score 6 months after surgery.
There was a positive correlation between dermal thickness and scar score (p<0.05), and dermal thickness appears to be a cause of hypertrophic scar formation (p<0.05).
Thick dermis was found to cause poor scar formation and hypertrophic scarring. Prediction of factors that can influence scar formation can be used to educate patients before surgery and can help in scar management and improvement in patient satisfaction.
长期以来，尽量减少瘢痕形成一直是整形手术中的一项挑战。影响瘢痕形成的因素已为人熟知，但一些患者特异性因素（如真皮厚度）的影响尚未得到证实。对预测瘢痕形成的因素进行管理可提高术后患者满意度并改善瘢痕治疗效果。
连续3年，我们使用超声测量我院因癌症接受甲状腺切除术的女性患者的真皮厚度。我们在术后6个月证实了真皮厚度对增生性瘢痕形成及患者和观察者瘢痕评估量表瘢痕评分的影响。
真皮厚度与瘢痕评分呈正相关（p<0.05），真皮厚度似乎是增生性瘢痕形成的一个原因（p<0.05）。
发现真皮厚会导致瘢痕形成不良和增生性瘢痕。预测可能影响瘢痕形成的因素可用于术前对患者进行教育，并有助于瘢痕管理及提高患者满意度。
